MultiPlan Health Insurance For Addiction Treatment
Discover MultiPlan’s addiction treatment coverage options. Verify your benefits and get the support you need for recovery today.
MultiPlan Health Insurance For Addiction Treatment
Discover MultiPlan’s addiction treatment coverage options. Verify your benefits and get the support you need for recovery today.
MultiPlan serves over 700 healthcare clients. Their customers are primarily health insurance companies and self funded employers along with government entities that pay for healthcare.
MultiPlan’s primary product is the PHCS provider network which is a national preferred provider organization (PPO). They also offer complementary provider networks that increase availability, fill in provider gaps, and improve access to specialty care.
MultiPlan reviews bills from network and out of network providers and negotiates out of network charges to save money for both clients and patients. This process allows them to detect wrong billing codes and catch potential fraud.
If you’re sorting through rehab programs or assessing coverage benefits, you can learn more about rehab options to explore compatible facilities.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
This place is amazing! Sobermans truly saved my life! I had been to 2 places before & unfortunately neither one helped in the long run. I was literally on the verge of destroying my entire life with an opioid addiction & don’t even remember the days before detox or the first few days in detox, it was that bad. So while I was in detox, I was on the verge of hopelessness sitting in regret & overwhelmed by past trauma when someone came to me and said, your only option at this point is Soberman’s. I had never heard of them before, but at this point I’m willing to try anything so, let’s get it going as soon as I leave detox. All I can say is this place is magical! From the first night until the last I felt like I was exactly where I was supposed to be. For the first time in my life everything made sense & I felt safe because of Soberman’s way of doing things. The labyrinth has an energy like I’ve never felt before, it’s like everyone who had been there before left a little part of themselves to help those to come. The staff all have stories of their own & are some of the most beautiful human beings I’ve had the pleasure to be around. The Alumni are great & very supportive! I was fortunate enough while I was there to do 2 Alumni dinners, so I was able to meet a lot of them during the dinner. I’ve also had the pleasure of going to one dinner since I’ve been out which was fun. The Alumni are very supportive & always available, which is something I’ve never had before. A group you can always call on & they also have a weekly zoom call to check in too. Sobermans helped guide me to my recipe for success & I will forever be grateful! I’ve been Sober for 8 months now & have no desire to use, but if I do I now have the skills to deal with it in a healthy way. Thank You to everyone at Sobermans!
Jamie Vahle
1 month ago
Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
George B.
11 months ago
Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great experience and honestly saved my life. I couldn't have asked for a better place to come and get clean. The music opportunities were awesome as well as the like minded musicians and beautiful souls that were all actually here to heal was what made this process so beneficial and productive. Ty RU! LOVE U GUYS!!
Jazzy Bell
2 weeks ago
Recovery unplugged is a blessing and will always be in my heart. I have enjoyed being here and hate to have to leave.i love you all!🌞
Candice Haislip
2 weeks ago
I absolutely love my stay with RU,recommend 20out of 10
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
1 week ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
1 week ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
Collin Cook
5 months ago
Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points.
Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own.
The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist.
Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment.
Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients.
If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
Hailee Burdette
6 months ago
Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
As a family member, I cannot say enough wonderful things about Mountainside Treatment Center in Huntington. From the very beginning, the staff treated both our loved one and our family with compassion, respect, and genuine care during an incredibly difficult time.
The communication throughout the process was thoughtful and professional, and it was clear that everyone involved truly wanted the best possible outcome. Mountainside provides best-in-class treatment in a safe, supportive, and welcoming environment. Knowing our loved one was in such caring and capable hands gave us comfort and hope when we needed it most.
We are deeply grateful for the support, guidance, and dedication of the entire team. Highly recommend.
Adriana Popa
4 months ago
Going to Mountainside in Huntington was a life changing experience. I could not recommend it more!
Violet White
1 year ago
As a clinical social worker running a local group practice, I regularly collaborate and refer clients to Mountainside Treatment Center. Their staff has always been exceptional, especially Courtney Hulse and Dan Sexton, who go above and beyond in tailoring their treatment plans for each client and family. Mountainside serves as a tremendous resource, providing quality substance abuse treatment that is critically needed here on Long Island. We are enthusiastic about continuing to work with Mountainside to best serve our community and families. Thank you for all you do Mountainside. Highly recommend!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
1 month ago
This place is great. The entire staff had always been excellent
bryan harris
2 months ago
This is the most helpful kindness place I have ever been. Never been more comfortable with what I've been so ashamed of. Karen and her team welcomed me and gave me strength and hope to getting better. My journey has just begun with the help of these lovely people. I can start living my life again. I recommend anyone if you are having trouble with getting back to sobriety please come here for help. They will be here for you and help you. Please they here are a god send.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The help that I received at Ashwood was truly compassionate and empathetic. My individual needs and story were treated with acceptance, encouragement, validation, and tools to change and move forward. My counselor challenged me and pushed me when needed, and also gave me space to heal and process. I was also able to connect and form meaningful friendships with fellow group mates. Would highly recommend Ashwood if you are thinking about seriously pursuing sobriety.
Benjamin Klipfel
2 weeks ago
I did my PHP and my IOP aftercare here at Ash point. The counseling service were extremely detailed with helping me and acknowledging me every step of the way with my recovery. They taught me so many different coping skills, mental health and the ability to give me The strength for going forward and achieving sober, living the counselors, the staff, the groups, and the interaction with other individuals that are struggling with substance abuse, Ashwood saved my life and gave me hope for being the very best that I can. I recommend this to everyone out there that is seeking help to have a better life and believing in themselves I am currently working 12 steps attending AA and I have a sponsor without Ashwood. This never would’ve been made possible. I love each and every one of you and thank you for supporting me with everything that I have been blessed with my family my friends my fur babies can’t thank you all enough and of course my higher power.
Shane Hansen
3 weeks ago
I can’t say enough good things about my experience at Ashwood Recovery. I came into the program during a time when I really needed structure, accountability, and support, and I’m incredibly grateful for everything I gained from being there.
The staff and counselors genuinely care and create an environment where you can be honest about your struggles without feeling judged. The program gave me valuable tools for recovery, helped me build healthier habits, and connected me with other people who understood what I was going through.
Recovery is ultimately up to the individual, but having a supportive place and the right people around you can make a huge difference. I’m leaving Ashwood with a stronger foundation, meaningful friendships, and a lot of gratitude for the progress I’ve made. I would absolutely recommend Ashwood Recovery to anyone who is serious about making positive changes in their life and looking for a supportive community to help them along the way.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
So I just want to leave a review based on such a supportive experience with staff. My daughter has been struggling up an down and all around, n I still am working on her to finally surrender, but I want to give a review on Charles. Charles is amazing, he has called me at 10:30 pm he has dealt with many messages, many I think today might be the day and than not, everyone knows what I talk about if they are familiar with addicts and their thought process and fear. I pray my daughter will finally surrender before it's to late, everyone close to my daughters have been dying left n right and they have lost children due to addiction, my grandchildren are now adopted out, my heart melts in heartbreak and the pain the whole family goes through is endless. So I just want to give a shout out to the amazing team and all their work while not giving up on us. They keep going out of their way to help me Everytime I reach out. Great people! Thank you so much! The detox White dove is Amazing and so kind as well. They too have been along for the ride and so kind and go out of their way to help me in anyway or questions while we just waiting on my daughters surrender. Thank you!
Jessica Cornia
4 weeks ago
I will forever be grateful for Wasatch Crest. They literally saved my life! They have done for me what I once believed was impossible. They gave me hope of a new life, free from substance abuse and relief from overbearing mental health issues. I personally want to thank both Jim and Nicolette Huffman for not only opening their doors to me within residential treatment, but also for believing in me and not giving up on me. They both really do care, are highly involved and truly develop love for each and every client who is fortunate to admit into the program. Wasatch Crest has one of the best clinical teams I have ever encountered, especially my therapist Rick Buxton CMHC. All of their staff was welcoming, helpful and professional. If you are looking for a residential treatment facility that is safe, filled with numerous therapeutic activities and specializes in trauma, Wasatch Crest is the place to get into. Thank you again for all this program has done for me.
Respectfully,
Derek P. Wasatch Warrior Alumni
Derek Perkins
3 months ago
This was my first time in residential treatment. I’ve struggled with alcohol/addiction for the majority of my life. I found real help here (for my mental health as well). I found real people here. It was honestly some of the best weeks of my life.
If any of my family or friends are struggling with drinking/using I will refer them here. This is a special place. A place that fosters cultivation of real personal growth. I’m currently in their IOP program after graduating residential, and it’s excellent aftercare.
This place changed my life. Of course it came with challenges; but the environment, culture, and staff here are all great. I’m the one who had to commit to recovery, but this is the place to do it.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I’ve been to a lot of treatment centers unfortunately but with that being said the Plymouth house is by far the best place I’ve been so far the property is beautiful the food is amazing and the stuff is top notch I would recommend the Plymouth house to anyone thinking about going to treatment
Kevin Reardon
1 month ago
Life isn’t just your cup of tea!!
Nico Mosie
1 month ago
The Plymouth House is a beautiful facility where all and I mean ALL the staff have your best interest at heart. I’m a chronic relapser who is tired of coming to treatment. The clinical team works hand in hand with recovered 12-Step staff to bring the clients closer to the truth in what keeps addiction rolling. I’m extremely optimistic for my future having graduated from Plymouth House. 10/10 - Would send my loved ones here if they suffered from the disease of addiction like I do.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I am so happy that I came to this facility and couldn't ask for a better and more loving group of facilitators and I felt like I was at home and the connection and support you get is so amazing. I 💯 would tell others to go here because of how this places is run and taken care of
Mitch Therrien jr
2 weeks ago
Great place for recovery. Staff, facilities, groups and food are amazing. Site is also amazing. Would recommend. Thanks to all of the staff there.
Edelmiro Nadal
2 weeks ago
My experience at SpringHill recovery center completely changed my life. I drove into Ashby a broken person and I’m leaving with the mentality in myself I feared I had lost forever to addiction. The staff here was focused on my success and happiness at all times, constantly checking in to make sure I had all the tools and support I needed to get well. My case manager, Alina, took time my first day to correct all of the mistakes my previous detox facility had made and continued to be a strong support throughout the duration of my stay. The nursing staff was exceptional and personable, always making me laugh through stressful med changes. Jess the NP was so attentive and always ready to listen. The RS staff was always a helping hand and served as a personal outlet for all my concerns during my stay. I could not recommend this place to a friend/family member more, SpringHill truly saved me.
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Frequently Asked Questions
Does MultiPlan Cover Addiction Treatment?
The PHCS provider network includes over a million healthcare providers across the country, and some of them provide substance use and mental health treatment. However, it’s not MultiPlan’s decision what care is covered — the insurance company or self funded employer determines that.
If the insurance plan that uses the PHCS network falls under the Affordable Care Act, then it will have to cover 10 essential health benefits which include mental health and addiction treatment. However self funded insurance plans aren’t subject to the ACA so they may or may not cover rehab.
That’s why it’s so important to verify your insurance details before you commit to treatment. You may also need a referral or preauthorization for coverage for example. When you check in advance you can avoid any surprises while you’re trying to focus on recovery.
What Inpatient Addiction Treatment Does MultiPlan Cover?
MultiPlan has developed a network of providers and treatment facilities that insurance companies utilize to provide their members with quality care. However they don’t determine the actual amount of coverage you have.
Your insurance provider focuses on offering medically necessary care, including treatment for addiction and mental health conditions. This is why it is crucial to have a treatment plan from your primary care physician. This plan helps support the medical necessity of inpatient addiction treatment.
The American Society of Addiction Medicine (ASAM) provides a multidimensional assessment tool so your clinician can assess the severity of substance use disorders and co occurring mental health conditions. The assessment criteria help inform your placement and treatment and will indicate when residential care is more appropriate. These criteria can include the severity of your addiction and any co occurring mental health disorders as well as an unstable living environment and safety concerns.
Your addiction treatment may start with medical detoxification. A medical detox program uses approved prescription medications to reduce withdrawal symptoms. During the program you are monitored 24/7 to reduce the potential life threatening side effects of withdrawal from certain drugs.
After addictive substances have been detoxed from your body you may transition to an evidence based inpatient treatment program. These programs use therapeutic approaches like cognitive behavioral therapy and dialectical behavior therapy as well as motivational interviewing. The combination approach of medical detoxification and residential care supports your recovery journey by providing you with a highly structured environment that is far away from drug and alcohol addiction triggers.
What Outpatient Rehab Does MultiPlan Cover?
After a comprehensive evaluation, potentially including the ASAM, your customized treatment program may begin with inpatient services or outpatient care. Several levels of outpatient care may be part of your tailored treatment plan.
Before enrolling in an outpatient treatment program you must check with your insurance plan to determine your coverage benefits and limitations. Multiplan offers the network of providers but they do not make coverage decisions.
The first level of outpatient care is a Partial Hospitalization Program (PHP) which offers a highly structured and intensive outpatient treatment. The program is often very similar to what you would receive as an inpatient but you return home in the evening. This treatment program is ideal for you when you have a stable home environment.
After a PHP you may graduate to an Intensive Outpatient Program (IOP). These programs provide evidence based therapy using a more flexible schedule. You may receive care for several hours a day over several days each week. Some treatment centers with IOPs allow you to choose sessions in the morning or afternoon or evening, which allows you to meet your work and school obligations.
A general outpatient treatment program has greater flexibility and usually includes treatment once or twice a week.
After completing your outpatient addiction treatment you may transition into an aftercare program. These programs support your long term sobriety and sustainable recovery.
Does MultiPlan Cover Methadone & Suboxone (MAT)?
Medication assisted treatment (MAT) is available for opioid and alcohol addiction programs. MAT can be used for medical detoxification to help reduce withdrawal symptoms and lessen the risk of life threatening complications. It can also be used for ongoing treatment to help reduce cravings and reduce the risk of relapse.
FDA approved prescription drugs such as methadone and buprenorphine along with naltrexone and suboxone are commonly prescribed in a MAT treatment program. Methadone and buprenorphine are usually used only for opioid treatment programs and Naltrexone can be used for alcohol and opioid use disorders. Suboxone is a combination of buprenorphine and Naltrexone that helps reduce cravings and reduce the risk of an overdose.
Does MultiPlan Cover Other Mental Healthcare?
MultiPlan’s network of healthcare professionals includes mental health providers. However your insurance plan makes coverage decisions about treatment, including the type of therapy and duration of care they will cover.
Mental health conditions can occur independently or as co occurring disorders alongside a substance use disorder. In either case, mental health care is essential to help stabilize you and ensure you have access to crisis support and therapy.
When a mental health condition is a co occurring disorder your treatment must be integrated to treat both conditions for a successful long term recovery. Your treatment program must include therapists with experience treating co occurring conditions which is also called a dual diagnosis.
Most plans offer mental health coverage as they are regulated by the Affordable Care Act. However, there are exceptions and self funded insurance plans are one exception. It is crucial you verify your insurance coverage before enrolling in treatment so you don’t receive a surprise bill.
How Long Will MultiPlan Cover Rehab?
Your insurance provider makes decisions about your coverage benefits and limitations. They also decide about the requirements that must be met before they pay for treatment. For example, your insurance plan may require prior authorization before treatment. Documentation may include an ASAM assessment and a treatment plan from your physician along with a medical examination or other information.
Your treatment center can usually help you gather the necessary information to submit prior authorization. Your insurance company will also look at certain criteria to determine how long you may receive addiction treatment. These criteria are based on medical necessity.
Your insurance provider will likely work with the treatment center and base decisions on your progress in care. Your length of stay in an inpatient or outpatient program will depend on the severity of your addiction and how well you respond to treatment. Most treatment centers offer 30 or 60 or 90 day programs.
Does Addiction Treatment Need to Be In Network?
MultiPlan’s primary network of providers is a preferred provider organization (PPO). Generally your insurance plan will offer some coverage for out of network providers. However, these are usually at a higher cost. For example receiving out of network treatment will likely have higher deductibles and copayments.
You can maximize your insurance coverage and receive more evidence based therapy — whether inpatient or outpatient — when you use an in network provider. The best way to accomplish this is to review your plan with your insurance company or to discuss your payment options with the treatment center. Most treatment centers will verify your insurance coverage before treatment begins and will know if they are in network or out of network with your insurance plan.
How to Verify Coverage With MultiPlan
Before receiving treatment it’s very important to verify your insurance coverage with your insurance provider. MultiPlan may be able to help you identify your particular plan but they may not know the requirements and benefits or limitations of your coverage.
Most insurance providers have customer service phone numbers and online platforms where you can check your insurance coverage. However sometimes the easiest way is to work with your treatment center. They are often adept at verifying insurance coverage and identifying the necessary requirements before admission.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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